Kevin Jones

BACKGROUND: There have been conflicting results in randomized trials of the effects of laparoscopic uterosacral nerve ablation (LUNA) in chronic pelvic pain. Our objective was to perform a meta-analysis using individual patient data (IPD) t…

OBJECTIVE: To compare excisional and ablative treatment modalities for mild (revised American Fertility score 1-2) endometriosis in the management of chronic pelvic pain. DESIGN: A randomized study of excision or ablation for mild endometr…

A logistic regression analysis was carried out to compare laparoscopic excision with ablation for endometriotic cysts. Four comparative studies were identified. Cyst recurrence (%, +/- SE) was twice as likely after the ablation treatment (2…

The last decade of the 20th century witnessed a revolution in technological progress and surgical skill in the field of minimal-access operative laparoscopy in gynaecology. Most of this effort has been directed towards conservative surgery …

Endometriosis is an increasingly common gynaecological disorder, confined to women of a reproductive age and limited to Homo sapiens and the higher primates. It would appear that an erect posture, although providing advantages in evolutiona…

OBJECTIVE: To document the changes in pain scores 3-12 months following ablative laparoscopic surgery. Secondary outcome measures included patient satisfaction scores. DESIGN: A prospective, cohort study. SETTING: A tertiary referral cent…

The authors report the case history of a patient with symptoms and signs suggestive of endometriosis, who was found to have Schistosomiasis. The laparoscopic appearance was of gelatinous deposits throughout the pelvis which were thought to …

The objective of this study was to determine whether laparoscopic surgery for endometriomas relieves painful symptoms. A systematic literature search was carried out to identify papers relating to the laparoscopic management of endometrioma…

BACKGROUND: Only 21.3% of cases of malignant transformation of endometriosis occur at extragonadal pelvic sites. Forty cases of endometriosis-associated intestinal tumors are reported in the literature. Of these, 17 cases are primary adenoc…

Promoting patient safety in primary care Honesty and openness may not be best policyEditor-We were both surprised by Wilson et al who, in their editorial, ask everybody to send in reports of their errors. 1Our concerns remain regardless of …

BACKGROUND: Endometriosis is a common and debilitating condition involving women during their reproductive years. It is characterized by the occurrence of endometrial glands and stroma outside the uterine cavity. Presenting symptoms include…

STUDY OBJECTIVE: To estimate the recurrence rate of chocolate cysts 3 to 12 months after ablative laparoscopic surgery. The secondary outcome measure was the need for a repeat surgical procedure. DESIGN: Prospective cohort study (Canadian …

ABSTRACT Objectives To audit the implementation of a consensus guideline on safe entry during laparoscopy. Design A prospective clinical study in a district general hospital, with a special interest in laparoscopic surgery for endometriosis…

As a tertiary referral centre for women with severe endometriosis we see a large number of patients who have endometriotic cysts, and many of these patients have been operated on by gynaecologists elsewhere in the UK. We have been surprised…

To determine the value of laparoscopic uterine nerve ablation (LUNA) as part of the laparoscopic laser treatment of painful endometriosis. A prospective randomized double‐blind controlled trial. A referral centre for the treatment of endome…

Objective This paper reviews the surgical management of pelvic pain due to endometriosis, and describes a new operation, the so called ‘arcus taurinus procedure’. Background In 1954, Joseph Doyle from Massachusetts described the procedure o…

To present a synopsis of the evidence supporting ablative laparoscopic surgery for endometriotic cysts. Review article. Endometriotic cysts can be managed laparoscopically by stripping, and excising or ablation of the capsule. The clinical …

BACKGROUND AND OBJECTIVES: The purpose of this study was to assess the long-term efficacy of laparoscopic laser surgery in the treatment of painful pelvic endometriosis. METHODS: We conducted a long-term follow-up of 56 patients who had pa…

OBJECTIVES: To assess the long term outcome of laparoscopic supracervical hysterectomy. DESIGN: Retrospective study. SETTING: Minimal Access Surgical Unit, Department of Gynaecology, Royal Surrey County Hospital, Surrey. METHODS: Analysi…